| 01/13/2016 |
| 08:59:21 |
| Name | Member No. | Cycle | Amount | CC No. | Authorization | Auth. Date |
| BELLUCCI, JENNA, | CW-5568004843 | R | 138.00 | 5178********1819 | 08606Z | 01/13/2016 |
| Count | Card Type | Total |
| 0 | American Express | 0.00 |
| 1 | MasterCard | 138.00 |
| 0 | Visa | 0.00 |
| 0 | Discover | 0.00 |
| 0 | Other | 0.00 |
| 138.00 |